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1326500505
LISA ANN KING
HAWTHORNE, CA
NPI
1326500505
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-04-04
Last Update Date
2019-04-04
Business Address
LISA ANN KING
12917 CERISE AVE
HAWTHORNE, CA 90250-5520
Phone number: 310-675-4431
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Mailing Address
LISA ANN KING
12917 CERISE AVE
HAWTHORNE, CA 90250-5520
Phone number: 310-675-4431
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